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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493684
Report Date: 11/24/2020
Date Signed: 11/24/2020 11:28:36 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:BUCKNER EDUCATIONAL CHRISTIAN ACADEMYFACILITY NUMBER:
197493684
ADMINISTRATOR:BUCKNER, LESLIEFACILITY TYPE:
850
ADDRESS:2114 W. MANCHESTER AVENUETELEPHONE:
(323) 758-8433
CITY:LOS ANGELESSTATE: CAZIP CODE:
90047
CAPACITY:43CENSUS: 15DATE:
11/24/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:12 AM
MET WITH:Ms. Buckner, OwnerTIME COMPLETED:
11:00 AM
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On 11/24/2020 at 10:12am, LPA Risher conducted a case management COVID-19 televisit regarding COVID-19 concerns that was received by the RO on 11/12/2020 and 11/20/2020. LPA spoke with LPA explained the purpose of the televisit. There were 15 children in care.

LPA interviewed Ms. Buckner, Owner during today's inspection. LPA and Ms.Buckner, Owner discussed the COVID-19 concerns. The Owner stated a teacher did test positive for COVID-19 in early November 2020. This person had not been at the facility for at least a week prior to her testing positive. Ms. Buckner stated that she disinfects the school everyday. None of the children were exposed to the teacher during the time that the teacher started having symptoms.

Based on today's interviews and observations, LPA has determined that the facility is taking the necessary precautions in response to COVID-19.

An exit interview was conducted. The report for today's visit will be emailed to the facility.
SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Adrian RisherTELEPHONE: (424) 301-3050
LICENSING EVALUATOR SIGNATURE:

DATE: 11/24/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/24/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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